Saevareid H I, Thygesen E, Nygaard H A, Lindstrom T C
Faculty of Health and Sport, Agder University College, Arendal, Norway.
Aging Ment Health. 2007 Nov;11(6):658-67. doi: 10.1080/13607860701368513.
The objective of this study was to examine the association between self-rated health (SRH) and physical, functional, social and mental health measures in community dwelling elderly people needing nursing care. Of special interest was how coping resources (SOC) influenced this relationship. Self-rated health is a good predictor of future health status as measured by mortality and morbidity, decline of functional abilities, use of healthcare, and nursing home placement. The high mean age and the relatively high level of care-dependency in this sample, make this investigation important.
A hierarchical regression analysis was applied in a cross sectional sample of 242 elderly (mean age 84.6 years).
Subjective health complaints (SHC) in both sexes, and psychological distress (only in men), was associated directly with SRH. Coping resources associated with SRH directly, and indirectly through subjective perceived health (SHC and GHQ) but only in men. The influence of registered illness was mediated through the effects of subjectively perceived health in both women and men. Sex differences moderated the effects of SOC on SRH.
Subjectively perceived health was more important in the perception of SRH than objective health measures. Men, in contrast to women, tend to convert physical illness into emotional distress.
本研究的目的是调查社区中需要护理的老年人自评健康（SRH）与身体、功能、社会和心理健康指标之间的关联。特别感兴趣的是应对资源（SOC）如何影响这种关系。自评健康是未来健康状况的良好预测指标，可通过死亡率和发病率、功能能力下降、医疗保健使用情况以及养老院安置情况来衡量。本样本的平均年龄较高且护理依赖程度相对较高，使得这项调查具有重要意义。
对242名老年人（平均年龄84.6岁）的横断面样本进行分层回归分析。
两性的主观健康问题（SHC）以及心理困扰（仅在男性中）与SRH直接相关。应对资源与SRH直接相关，并通过主观感知健康（SHC和GHQ）间接相关，但仅在男性中如此。登记疾病的影响通过主观感知健康在女性和男性中的作用来介导。性别差异调节了SOC对SRH的影响。
在SRH的认知中，主观感知健康比客观健康指标更重要。与女性相比，男性倾向于将身体疾病转化为情绪困扰。
